HomeMy WebLinkAbout612 Siloam Springs Dr - 211306301005EAGLE DEPARTMENT OF ENVIRONN,HEALTH
i Box 811 6th & Broadway
PERMIT MUST BE POSTED
Eagle, Colorado 81631
ON PROPERTY 'CALL 'FOR EI'NAL INSPECTION
PERMIT 293 (this does not constitute
• a building or use permit)
Owner J • GOLDEN BAIR
System Location SECTION 1 TOWN.SHIP 12 TRACT 37
Licensed Contractor Purley Bertroc'h
* Conditional Construction approval is hereby granted for a 1 , oon gallon
xx Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 10 minutes 700 sq. ft.
absorption area per bedroom 233
# of bedrooms3 x 233 sq. ft. minimum requirement
May we suggest 70,0 s,q. ft. of drainage fte.l'd.
Date �% %� Inspector
FINAL APPROVAL OF SYSTEM:
—F--7
t�e
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
ptic Tank cleanout to within 12" of final grade or aerated access ports above grade.
ro er materials and assembly.
de ate absorption (or dispersal) area.
dequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
7��� Inspector Date
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
* CONDITIONS:
1. All .installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973
2. This permit is valid only for connection to structures which have fully complied with County Zoning and
building requirements. Connection to or use with any dwelling or structures not approved by the building
and Zoning office shall automatically be a violation of a requirement of the permit and cause for both
legal action and revocation of the permit.
3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a knowing and material variation from the terms or specifications con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or
��.
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 1 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO _ 479
v
Name of Owner: Phone:
Address of Owner: lo� S�lo 1`�wt �a --� �,���r Jta�vc
Is facility within boundaries of a city/town or sanitation district?/,gyp
0
Distance to nearest sewer system:
Location of Propose System:
Legal Discription: ` :1 SD C : `,(11l(1����
Type of Structure: Single Family Dwelling ( X) Other: JI No. Bedrooms.
Water Supply: Private Well ( )O Location: -Distance From leach field: 0 o
Size of Lot: gna.,6 y Lf y Public Water Supply:
An appropriate plat plan must accompany site inspection for this application showing required information. (See
attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the
regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS
66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be
obtained at the Eagle County sanitarian's office.
Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone
328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final
inspection.
Name, address, and telephone of person responsible for design of system: —
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit. n I q n
SIGNATURE OF APPLICANT: /4 lL�— �L�-CI�-P�n (u�LL— Date: (1/S�l
(This application become invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Informa ion: / .N6 )� I Permit No.
Tank Capacity: gal. (minimum) Fee Receipt:ok, W66
Absorption Area: Sq. ft. (minimum) File:
REMARKS:
APPLICATION IS: APPROVED ( \—� DENIED ( )
The above individual sewage disposal system was installed by
AND HAS BEEN INSPECTED AND APPROVED' BY A REPRESENTATIVE OF THE EAGLE C UNTY HEALTH DEPT.
c
�l7
Date: L Sanitarian:
ATION
y�Ij 0. 00
l �����a cs��:a.o-n do. � c;z•Iui�: ;�'�.
-lea
�
Le ,-1 Description:. (P("S
Tyne o1' Duelling: hTo, o L'ectzOOfTla:
Date of Test: 60 Dci-)tll of 1101es: d2 ,� 31
Diameter: /i� Tyne of Soil:-
Loc�,tioa of Teat Holes:
Test bore N%,a.s nreso- iced from.: - o;
TI�,I
17ATER. D3 '`1'iI
i 7\r,C;IL'13 nI MILL
Rl�TC
2
3
l
2
3?
3'
Percolation
Rate:
Site h, bec,11 xc•Jie\rc:l and
tC. .Lc:ci fox ,:c.r colatio.�
z':�tc,
}tie 'reco.11111end:
11"PROWL _
DXSrPPROV!!L
DITE:
• ,l�vi�•c�;�uleit�{:I31. lic:::].�i:li
E 1:i(()may
ilui
EAGLE COUNTY.
ENVIRONMENTAL HEALTH
0X 850
EAGLE, COLORADO 81631 1 August 1978
BOARD OF COUNTY
COMMISSIONERS
328-6809
Mr. J. Golden Bair
ADMINISTRATION
66586 Hwy 6-24
328-6674
Glenwood Springs, Colorado 81601
ANIMAL SHELTER
949-4292
ASSESSOR
Re: Application for Septic Permit in Eagle County
328-6593
Tract 37, Section 1, Township 12
BUILDING
INSPECTION
The Eagle County Environmental Health Department requires
CLERK &
that all applications for septic permits in Eagle County
RECORDER
be routed to the Eagle County Planning, Engineering, and
Eagle 328-6377Building
Basalt 927-27.3244
De artments for their comments prior to issuance
g P
COUNTY
of the permits. Your application was routed on July 28,
ATTORNEY
1978.
328-6674
ENGINEER
328-6337
Listed below are the comments and recommendation which were
ENVIRONMENTAL
made by the above Departments during the routing procedure.
HEALTH
If you have any questions or wish to get a further expla-
328-7718
nation, please contact the appropriate departments. The
EXTENSION
telephone numbers and addresses of the commenting Depart-
328.6370
ments- are listed with each comment.
LIBRARY
328-7787
PLANNING: Not Approved. "There will be no access from
agaICHEALTH
6594 H
the I-70 to this piece of land."
Vail 476-5844
PLANNING
328-6338-
ROAD & BRIDGE
Susan Vaughn, Planning
328-6591
Box 179, Eagle, CO. 81631
SHERIFF
328-7311 ext.228
Eagle 328-6611
Basalt 927-3244
Gilman 827-5751
ENGINEERING: Not Available.
SOCIAL
SERVICES
328-6328
BUILDING: Not Available.
TREASURER
328-6376
It would be to your advantage if you begin to resolve any
problem and/or requirements as soon as possible so as not
to delay the issuance of your Septic Permit any longer than
necessary.
-"Routing Form" for your information.
Enclosed is a copy of the
Thank you/very much,
Erik W. Edeen
Environmental Health Officer
EWE:SV:myw
enc :
;W. cc: Susan Vaughn, Planning
EAGLr: ENVIRONMENTAL I1EAL..i
N
7/a7
ROUTE FORM
OnA &A 8-6,11
NAM E'
ite Refered Permit Number
LOCAZ ON
?lease review the attached application and return it and this completed form to
the Environmental Health Office within 6 working; days.
?LANNING File No.. r_ Yes No Reviewed by Date
Complies with:
Subdivision Regulations
Zoning Regulations
.Recommend Approval%
'omments: �Ll�,L�% Z'-7D
30UNTY ENGINEER: Roads
Grading
Drainage
Recommend Approval
�omments:
3UILDING DEPARTMENT:
Set backs
Site
Access
)ther _
Recommend Approval
.omments:
0293-Sec I T12 Tr37 2 Mi W of Dotsero
V%EB NAf-. 6�-�Hvry 6 & 24 Glnwd BAIR 110 _R, eT&V JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
s �� - J Z_ �°i� f
r
2.1 U
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
, Vi44 11,,
PERMIT #293
e))
J
OWNER: J. G'b� Bair
00M
LOCATION: Section I - Township 12 - Tra 37
2 miles west of Dotsero -
INSTALLER: Purley Bertroch
SIZE OF TANK: 1,000 gallons
DWELLING: Mobile Home - 3 bedrooms x 233 sq.ft.
PERC RATE: one inch/10 minutes (700 sq.ft.)
700 sq.ft. of drainage field.
TOTAL LABOR
i
INSURANCE
SALES TAX
i MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
j LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER -Product 278 ®@ NI Printed in USA -
Finalized: 8-17-78 By: Erik Edeen
